Part IX- Grief, Bereavement, Loss
Terms in this set (24)
What is the subjective feeling precipitated by the death of a loved one?
Fill in the blank: A man who has lost his wife may experience elements of acute ______ every time he hears her name or sees her picture on the nightstand
Fill in the blank: Grief is synonymously used with ___________, but in reality this is the process by which grief is resolved.
You meet your friend for coffee and she tells you that her father died of a heart attack last week. You can tell she has not been getting much sleep. She tells you she is sad and mad on how suddenly he left. What reaction is she experiencing?
What is the period of sadness and loneliness that we experience from a loss?
What are the stages of bereavement as described by Elizabeth Kubler-Ross?
Stage 1: Shock and Denial
Stage 2: Anger
Stage 3: Bargaining
Stage 4: Depression
Stage 5: Acceptance
You have to give a patient unfortunate news that with their diagnosis will only allow them to live for 3 more months. They look dazed. He gets upset and says you are a quack doctor and will search for a doctor that says otherwise. What stage of death is he in?
Shock and Denial
You have to give a patient unfortunate news that with their diagnosis will only allow them to live for 3 more months. He becomes very angry and blames you and the medical staff for his diagnosis. What stage of death is he in?
You are seeing your patient for a follow up appointment. He says he has been going to church more and giving to charity. He says, "God can see I am doing right, so maybe he can give me some more time down here." What stage of death is he at?
As you are following up with another patient during your palliative care rotation, you notice the she is having trouble sleeping and seems more withdrawn than usual. What stage of death is she in? Should you intervene? When should you intervene?
Depression, all persons feel some sadness at the prospect of their own death and normal sadness does not require biological intervention. When signs of major depressive disorder and suicide idealizations appear, DO NOT WAIT!
What type of children view death as "reversible or going to sleep?"
Preschool age, preoperational stage
What type of children have developed concrete operational thinking, look at death as something that happens to old people and not them?
School age children
What type of children understand death is final, but may not accept their death is possible? What are the major fears of this type?
Adolescents, they fear losing control, being imperfect, and being different.
When it comes to death who may feel they might be a burden to others, think about everything regarding death in terms of not just themselves but their family, friends and other loved ones?
Late age adults often accept that their time has come. What are their main fears?
Long, painful, disfiguring death; prolonged vegetative state; isolation; and loss of control or dignity
What are the responses found in normal bereavement reactions?
Protest, Longer period of searching (to reestablish bond), starts to diminish and gives way to despair and detachment before bereaved ind finally recognize that person is not coming back. SO ultimately normal bereavement is when you accept that person will not come back.
Chronic, hypertrophic and delayed grief make up what?
What is the most common type of complicated grief that is usually characterized by bitterness and idealization of the dead person?
Chronic grief is most likely experienced by those who are:
extremely close, ambivalent, or dependent
You go out to the movies with your best friend and have a great time. The next morning you get a call from her mother that she passed away in her sleep. You become anxious and "shut down." What kind of grief are you experiencing? Why? Will traditional coping strategies work?
Hypertrophic grief, the death was very unexpected. No!
Absent or inhibited grief when one normally expects to find overt signs and symptoms of acute mourning is referred to as what?
During bereavement, depressive symptoms are usually within how many months? What about major depressive disorder?
2 months of bereavement, in major depressive disorder the onset can occur at any time.
What are some key distinctions of depressive symptoms in major depression disorder?
The person may consider themselves, weak, defective or bad. Dysphoria is independent, depression is chronic or intermittent, there will be clinically significant distress, and there is a family or personal history of major depression.
The survivor RARELY has morbid feelings of guilt or worthlessness, consider themselves self bereaved and their functional impairment is transient and mild. These depressive symptoms are associated with what?
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